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HOLLY KATRINA DUPLECHAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3203 S MAIN ST, LINDALE, TX 75771-7727
(903) 882-0991
Mailing address
PO BOX 846098, DALLAS, TX 75284-6098
(903) 324-6450

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M4047
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
184385602
TX
05
184385603
TX
01
750818167039
TRICARE
TX
01
752616977-028
TRICARE
TX
01
8DH344
BCBS
TX
01
8V5493
BCBS
TX
01
P00862582
MEDICARE RAILROAD
TX
01
P01279307
RAIL ROAD
TX
Enumeration date
08/30/2006
Last updated
10/13/2014
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